Encyclopedia of Intensive Care Medicine

2012 Edition
| Editors: Jean-Louis Vincent, Jesse B. Hall

Post-neurosurgical Meningitis

  • Sonja HansenEmail author
  • Elisabeth Meyer
Reference work entry
DOI: https://doi.org/10.1007/978-3-642-00418-6_629



Post-neurosurgical meningitis is an inflammation of the coverings of the brain following cranial procedures like craniotomy, stereotactic biopsy, and stereotactic craniotomy or ventriculoperitoneal shunt placement.

Besides the superficial SSI, post-neurosurgical meningitis is the second most common CNS infection after craniotomy. Post-neurosurgical meningitis occurs in 1–6% of cranial procedures.

Risk factors for postoperative meningitis are concomitant incision infection, cerebrospinal fluid (CSF) leakage, duration of surgery, emergency surgery, and early reoperation. Also EVD and intraventricular shunting increase the risk of post-neurosurgical meningitis (see also  External Ventricular Drainage (EVD) Related CNS Infection and  Shunt-Related CNS Infection).

Pathogens causing post-neurosurgical meningitis are mainly staphylococci (Staphylococcus aureus, coagulase negative staphylococci (CoNS)), gram-negative bacilli (Esch...

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  1. 1.
    Korinek AM, Baugnon T, Golmard JL, van Effenterre R, Coriat P, Puybasset L (2008) Risk factors for adult nosocomial meningitis after craniotomy: role of antibiotic prophylaxis. Neurosurgery 62(Suppl 2):532–539PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Institute of Hygiene and Environmental MedicineCharité – University MedicineBerlinGermany
  2. 2.Charité Campus Benjamin FranklinInstitute of Hygiene and Environmental Medicine, Charité – University MedicineBerlinGermany